Pieterse Deirdre, Hoare Jacqueline, Louw Kerry-Ann, Breet Elsie, Henry Michelle, Lewis Ian, Bantjes Jason
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Department of Psychiatry, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa.
S Afr J Psychiatr. 2020 Apr 21;26:1399. doi: 10.4102/sajpsychiatry.v26i0.1399. eCollection 2020.
Little is known about the methods of deliberate self-harm (DSH) in South Africa (SA), despite the importance of means restriction as a public health strategy to reduce the morbidity and mortality associated with self-harm.
The aim of this study was to investigate the range of methods used in DSH and identify the socio-demographic and clinical factors associated with violent and non-violent methods of DSH among patients treated at a tertiary hospital in SA.
The study was conducted at an urban, tertiary level emergency department at Groote Schuur hospital in Cape Town, South Africa.
Data were collected from 238 consecutive DSH patients who presented for emergency department treatment at the hospital. Logistic regression models were used to explore the factors associated with violent and non-violent methods of DSH.
Self-poisoning was the most common method of self-harm (80.3%). Prescription medication was the most common form of self-poison (57.6%), while a large number of patients used non-prescription paracetamol (40.9%). In the regression analysis, male gender, stating that the reason for DSH was to escape a situation and history of substance use were associated with violent method of DSH.
Improved monitoring of prescription medications commonly used in DSH is integral to public health suicide prevention strategies in SA. This study underscores the need for substance use interventions in the healthcare setting.
尽管限制自伤手段作为一项公共卫生策略对于降低与自伤相关的发病率和死亡率很重要，但关于南非蓄意自伤（DSH）的方法却知之甚少。
本研究的目的是调查DSH中使用的方法范围，并确定在南非一家三级医院接受治疗的患者中，与DSH的暴力和非暴力方法相关的社会人口统计学和临床因素。
该研究在南非开普敦格罗特舒尔医院的城市三级急诊科进行。
收集了在该医院急诊科接受治疗的238例连续DSH患者的数据。使用逻辑回归模型来探讨与DSH的暴力和非暴力方法相关的因素。
自我中毒是最常见的自伤方法（80.3%）。处方药是最常见的自我中毒形式（57.6%），而大量患者使用非处方扑热息痛（40.9%）。在回归分析中，男性、称DSH的原因是逃避某种情况以及药物使用史与DSH的暴力方法相关。
加强对DSH中常用处方药的监测是南非公共卫生自杀预防策略不可或缺的一部分。本研究强调了在医疗环境中进行药物使用干预措施（的必要性）。
